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Contact Information

MICHELLE CLARKE, CPT , CNA
4532 BROWNS MILL FERRY RD
LITHONIA, GA30038-4528
 Phone: 404-437-3540
 Fax: 404-437-3540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

EEG

2472E0500X 75 Slide Preparation Facility
 

Nurse's Aide

376K00000X
Indicates primary specialty

NPI Profile & details for MICHELLE CLARKE · (Female)

NPI Number 1184132177
Status Active
Credentials CPT , CNA
Entity Individual
Enumeration date 01/12/2018
Last updated 01/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # C9P4H9A3
  • GA License # CN0000001529
  • GA Medicaid 000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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